HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONto- —%
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED c�
Date: —AI1b\\g\ Permit Number:
RECEIVED
Building Permit Application MAR 0 0 2019
Planning and Development Services
Building and Code Regulation Division ST. Lucie Count r PermIMME1
2300 Virginia Avenue, Fort Pierce FL 34982 ---�-- -
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xxxxxxxx
PERMIT APPLICATION FOR: Roof- V)ki SCANN D III
PROPOSED IMPROVEMENT LOCATION: BY
Address: 14375 CANCUN FT. PIERCE, FL 34951
Legal Description: 06/07 34 39 - SPANISH LAKES FAIRWAYS
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side:
Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
REMOVE EXISTING ROOF & REPLACE ANY ROT �1 n (\ Db` LC �p�Q
INSTALL S/A HT UNDERLAYMENT 1 1 1
INSTALL 26 GA METAL.ROOF SYSTEM
CONSTRUCTION INFORMATION:
Adclitional worK to e e orme under tispermit—checka apply:
0HVAC LiGasTank []Gas Piping _Shutters Windows/Doors
11 Electric El Plumbing Sprinklers 11 Generator Roof
Total Sq. Ft of Construction: 1,600 Sct. of First Floor:
Cost of Construction: $ 7,200 Utilities:I]Sewer D Septic Building Height:
OW N ERAESSE E:
CONTRACTOR:
Name WYNNE BLDG. CORP./CAROLYN NIELSEN
Name: JOE BAKER
Address:12804 SW 122ND AVE./14375 CANCUN
Company: BIG LAKE ROOFING & REPAIRS
City: MIAMI/FT. PIERCE State: FL
Zip Code: 33186/34951 Fax:
Phone No. 616-2834928
Address: 2699 NW 16TH BLVD.
City: OKEECHOBEE State: FL
Zip Code: 34972 Fax: 863-763-7662
Phone No. 863-763-7663
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: BIGLAKEROOFING@YAHOO.COM
r
State or County License: CCCO46939717
If value of construction Is $2S00 or more, a RECORDED Notice of Commencement is required. ;
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Ot Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencine work or recordine vour Notice of Commencement.
Signature of Owner/Agent/ Lessee Signature of Contractor/License Holder
STATE OF FLORIDA -
STATE OF FLORIDA
COUNTY OF nN_,eXbA.06✓-C
COUNTY OF
The forgoigg instrument was acknowledged' qhofore me
The fp wing instrument was acknowledgGd�efore me
this r day A&0 G(� 20_l by
this. day of A& Eta 61, , 20 -r--F 'y
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(Name of person acknowledging))
(Nameof person acknowledging)!
jacckno�wledginngg )
(Signature of Notary Pub ic- State of Florida )
(Sig ature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification Produced
Type of Identification Produced
Commission No.
HFA DWARDSON
Commission No.
,.s..! HFA DWARDSON
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'• :__ MY COMMISSION#GG 215185
"`•`�''::5 MY COMMISSION#GG215185
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